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This study investigated the pharmacodynamics of single oral doses of <jats:styled-content style=\"fixed-case\">AZD<\/jats:styled-content>7325 2\u2009mg and 10\u2009mg on the central nervous system (<jats:styled-content style=\"fixed-case\">CNS<\/jats:styled-content>) compared with placebo and lorazepam 2\u2009mg.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This double\u2010blind, randomized, four way crossover study enrolled 16 healthy males and administered two validated <jats:styled-content style=\"fixed-case\">CNS<\/jats:styled-content> test batteries to measure drug effects on cognitive, neurophysiologic and psychomotor function and subjective feelings. The pharmacological selectivity of <jats:styled-content style=\"fixed-case\">AZD<\/jats:styled-content>7325 was compared with lorazepam by plotting saccadic peak velocity change from baseline (<jats:styled-content style=\"fixed-case\">\u0394SPV<\/jats:styled-content>) against body sway (\u0394<jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>way) and visual analogue scale for alertness(\u0394<jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content><jats:sub>alertness<\/jats:sub>). This analysis has previously been used to identify \u03b1<jats:sub>2,3<\/jats:sub>\u2010subtype\u2010selectivity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In contrast with the robust impairment caused by lorazepam (all <jats:italic>P<\/jats:italic> &lt; 0.05 <jats:italic>vs.<\/jats:italic> placebo), neither dose of <jats:styled-content style=\"fixed-case\">AZD<\/jats:styled-content>7325 induced statistically significant effects on any pharmacodynamic measurements. Lorazepam\u2010induced SPV\u2010reduction was linearly related to changes in other neurophysiologic biomarkers. In contrast, the slopes of the regression lines were flatter for <jats:styled-content style=\"fixed-case\">AZD<\/jats:styled-content>7325, particularly for the \u0394log(<jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>way) <jats:bold>\u2212<\/jats:bold>\u0394<jats:styled-content style=\"fixed-case\">SPV<\/jats:styled-content> relation (estimate slope, <jats:styled-content style=\"fixed-case\">AZD7<\/jats:styled-content>325 10\u2009mg <jats:italic>vs<\/jats:italic>. lorazepam, difference [95% confidence interval], <jats:italic>P<\/jats:italic> value \u22120.00036 <jats:italic>vs.<\/jats:italic> \u22120.00206, 0.001704 [0.000639, 0.002768], <jats:italic>P<\/jats:italic> = 0.0018) and the \u0394<jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content><jats:sub>alertness<\/jats:sub><jats:bold>\u2212<\/jats:bold>\u0394<jats:styled-content style=\"fixed-case\">SPV<\/jats:styled-content> relationship (0.01855 <jats:italic>vs.<\/jats:italic> 0.08216, \u22120.06360 [\u22120.1046, \u22120.02257], <jats:italic>P<\/jats:italic> = 0.0024). <jats:styled-content style=\"fixed-case\">AZD<\/jats:styled-content>7325 10\u2009mg and lorazepam induced different response patterns on <jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content> \u2018feeling high\u2019 and electro\u2010encephalography.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The characteristic \u0394<jats:styled-content style=\"fixed-case\">SPV<\/jats:styled-content>\u2010relative effect profiles of <jats:styled-content style=\"fixed-case\">AZD<\/jats:styled-content>7325 <jats:italic>vs<\/jats:italic>. lorazepam suggest anxio\u2010selectivity related to \u03b1<jats:sub>2,3<\/jats:sub>\u2010selective <jats:styled-content style=\"fixed-case\">GABA<jats:sub>A<\/jats:sub><\/jats:styled-content> agonism. However, exploration of higher doses may be warranted. The paucity of effects on most <jats:styled-content style=\"fixed-case\">CNS<\/jats:styled-content><jats:bold>\u2212<\/jats:bold><jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> parameters also indicates a mitigated side effect pattern, with potentially lower cognitive and neurophysiological side effect burden than non\u2010selective benzodiazepines.<\/jats:p><\/jats:sec>","DOI":"10.1111\/bcp.12413","type":"journal-article","created":{"date-parts":[[2014,5,7]],"date-time":"2014-05-07T02:09:19Z","timestamp":1399428559000},"page":"1298-1314","source":"Crossref","is-referenced-by-count":45,"title":["The central nervous system effects of the partial <scp>GABA<\/scp>\u2010<scp>A<\/scp>\u03b1<sub>2,3<\/sub>\u2010selective receptor modulator <scp>AZD7325<\/scp> in comparison with lorazepam in healthy males"],"prefix":"10.1111","volume":"78","author":[{"given":"Xia","family":"Chen","sequence":"first","affiliation":[{"name":"Phase I Unit, Clinical Pharmacology Research Center 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